Hematology Practice quizzy Flashcards
A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? Select all that apply.
a. Lubricate the lips with water-soluble ointment.
b. Brush teeth with a soft toothbrush.
c. Blow nose gently.
d. Limit fruit consumption.
e. Use a straight edge razor to shave.
a. Lubricate the lips with water-soluble ointment.
b. Brush teeth with a soft toothbrush.
c. Blow nose gently.
A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia. Which of the following actions should the nurse plan to take?
a. Leave the client 5 minutes after beginning the transfusion.
b. Infuse the transfusion at a rate of 200 mL/hr.
c. Check the client’s vital signs every hour during the transfusion.
d. Flush the blood tubing with dextrose 5% in water.
c. Check the client’s vital signs every hour during the transfusion.
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
a. “Taking the medication between meals will help you avoid becoming constipated.”
b. “Taking the medication with food increases the risk of esophagitis.”
c. “Taking the medication between meals will help you absorb the medication more efficiently.”
d. “The medication can cause nausea if taken with food.”
c. “Taking the medication between meals will help you absorb the medication more efficiently.”
A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? Select all that apply.
a. Check vital signs before transfusion.
b. Insert an IV with a 19-gauge needle.
c. Prime the blood tubing with dextrose 5% in water.
d. Transfuse the blood product within 5 hours after removing it from refrigeration.
e. Check the expiration date of the blood product with a second nurse.
a. Check vital signs before transfusion.
b. Insert an IV with a 19-gauge needle.
e. Check the expiration date of the blood product with a second nurse.
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
a. High fever
b. Bradycardia
c. Pain
d. Constipation
c. Pain
A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?
a. Sweat test
b. Haptoglobin
c. Antinuclear antibodies
d. Schilling test
d. Schilling test
A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?
a. 1.5 oz raisins
b. 8 oz black tea
c. 1 cup canned black beans
d. 8 oz whole milk
c. 1 cup canned black beans
A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. Which of the following action is the nurse’s priority?
a. Stopping the transfusion
b. Covering the client with a blanket
c. Notifying the provider
d. Assessing the client’s skin for a rash
a. Stopping the transfusion
A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?
a. Place the client in a negative airflow room.
b. Keep blood pressure equipment in the client’s room.
c. Monitor the client’s vital signs once every 8 hours.
d. Provide the client with 1,000 mL of water to drink every 12 hours.
b. Keep blood pressure equipment in the client’s room.
A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?
a. Aplastic anemia is associated with a decreased intake of iron.
b. Aplastic anemia results in an increased rate of RBC destruction.
c. Aplastic anemia results in an inability to absorb vitamin B12.
d. Aplastic anemia results from decreased bone marrow production of RBCs.
d. Aplastic anemia results from decreased bone marrow production of RBCs.
